Men's Health

What is Erectile Dysfunction?

Erectile dysfunction (impotence) is the inability to get and keep an erection firm enough for sex.Having erection trouble from time to time isn't necessarily a cause for concern. If erectile dysfunction is an ongoing issue, however, it can cause stress, affect your self-confidence and contribute to relationship problems. Problems getting or keeping an erection can also be a sign of an underlying health condition that needs treatment and a risk factor for heart disease.

Symptoms of Erectile Dysfunction

Erectile dysfunction symptoms might include persistent:

Trouble getting an erection

Trouble keeping an erection

Reduced sexual desire

CAUSES OF ERECTILE DYSFUNCTION

Male sexual arousal is a complex process that involves the brain, hormones, emotions, nerves, muscles and blood vessels. Erectile dysfunction can result from a problem with any of these. Likewise, stress and mental health concerns can cause or worsen erectile dysfunction.

Sometimes a combination of physical and psychological issues causes erectile dysfunction. For instance, a minor physical condition that slows your sexual response might cause anxiety about maintaining an erection. The resulting anxiety can lead to or worsen erectile dysfunction.

Physical causes of erectile dysfunction

In many cases, erectile dysfunction is caused by something physical. Common causes include:

Heart disease

Clogged blood vessels (atherosclerosis)

High cholesterol

High blood pressure

Diabetes

Obesity

Metabolic syndrome — a condition involving increased blood pressure, high insulin levels, body fat around the waist and high cholesterol

Parkinson's disease

Multiple sclerosis

Certain prescription medications

Tobacco use

Peyronie's disease — development of scar tissue inside the penis

Alcoholism and other forms of substance abuse

Sleep disorders

Treatments for prostate cancer or enlarged prostate

Surgeries or injuries that affect the pelvic area or spinal cord

Psychological causes of erectile dysfunction

The brain plays a key role in triggering the series of physical events that cause an erection, starting with feelings of sexual excitement. A number of things can interfere with sexual feelings and cause or worsen erectile dysfunction. These include:

Depression, anxiety or other mental health conditions

Stress

Relationship problems due to stress, poor communication or other concerns

PREVENTION OF Erectile Dysfunction

The best way to prevent erectile dysfunction is to make healthy lifestyle choices and to manage any existing health conditions. For example:

Work with your doctor to manage diabetes, heart disease or other chronic health conditions.

See your doctor for regular checkups and medical screening tests.

Stop smoking, limit or avoid alcohol, and don't use illegal drugs.

Exercise regularly.

Take steps to reduce stress.

Get help for anxiety, depression or other mental health concerns.

COMMON MEDICATIONS

Tadalafil

Androcur

Lidocaine

Sustimax

Chemforce

Cenforce

Vidalista

MYTHS/FACTS

Myth: ED is a normal part of growing older and men have to learn to live with it.

Fact: Although ED is more common among older men, that doesn't mean it's something you have to live with.It's not unusual for older men to need more stimulation to help get them aroused than they did when they were younger.But, lots of men are able to get erections well into their senior years, and there's likely no reason that you can't be one of them.

Myth: Erectile dysfunction doesn't affect younger men.

Fact: Although ED is more common in men over 75, guys of any age can have it.

Myth: ED may be upsetting, but there's nothing dangerous about it.

Fact: Although ED itself isn't dangerous, it can be an early warning sign of a serious health condition, such as diabetes or heart problems.

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